Active NPI
Gilbert Villasenor, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1750502365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019026984
- Practice address
- 8214 W Addison St
Chicago, IL 60634-1950 - Phone
- (773) 625-6442
- Fax
- (773) 901-3608
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019026984 | IL | Primary |
Addresses
Primary practice location
8214 W Addison St
Chicago, IL 60634-1950
Mailing address
8214 W Addison St
Chicago, IL 60634-1950
Phone (773) 625-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180516000829 | MI | Order and Referring Only - Dentist | 7214291475 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019026984 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1750502365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8214 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341950",
"telephone_number": "773-625-6442",
"fax_number": "773-901-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8214 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341950",
"telephone_number": "773-625-6442",
"fax_number": "773-901-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "GILBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Tatiana Inez Villarreal, LCSW
- Maria Isabel Villarroel Guevara, MD
- Ines Villarroya Marquina, MD
- Marisol Villasenor-Sanchez, M.ED. , LCPC
- Clara F Villasenor, LCSW
- Jerry Villasenor Jr., M.D.
- Kaitlyn Villasenor, OTR/L
- Kathryn Villasenor, M.S., CCC-SLP
- Maria Soledad Villasenor, MSN, APRN, FNP-C
- Romeo T Villasenor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.